Oh Eui-Geum, Park Hee-Ok, Bang So-Yon, Lee Chun-Hwa, Yeo Jung-Hee, Kim So-Hee
College of Nursing, Yonsei University, Seoul, Korea.
Taehan Kanho Hakhoe Chi. 2003 Aug;33(5):570-9. doi: 10.4040/jkan.2003.33.5.570.
The purpose of this study is to exam the effects of a short-term pulmonary program on lung function, exercise tolerance, and quality of life in chronic lung patients.
Randomized controlled pre-post test design was used. The outcome measures were forced expiratory volume in one second (FEV1, % predicted), 6 min walking distance (6MWD), Borg score after 6MWD, and Chronic Respiratory Disease Questionnaire (CRDQ). Experimental group performed the 4-week home-based pulmonary rehabilitation program composed of inspiratory muscle training, upper and lower extremity exercise, relaxation, and telephone visit. Patients in control group were only given education about self-management strategies. Thirty four patients with moderate-to-severe respiratory impairment were recruited, and 28 patients (19 in experiments, 15 in control) completed the study.
Significant improvements in lung function, exercise tolerance, and health related quality of life were found only in the experiment group.
This study yielded evidence for the potential and beneficial effects of home-based pulmonary rehabilitation program in patients with moderate to severe chronic lung disease. The program could be adequately utilized for improvement of health related quality of life in chronic lung patients.
本研究旨在检验短期肺部康复计划对慢性肺病患者肺功能、运动耐量和生活质量的影响。
采用随机对照前后测设计。结局指标包括一秒用力呼气量（FEV1，预测值百分比）、6分钟步行距离（6MWD）、6MWD后的博格评分以及慢性呼吸疾病问卷（CRDQ）。实验组进行为期4周的居家肺部康复计划，包括吸气肌训练、上下肢运动、放松训练和电话随访。对照组患者仅接受自我管理策略教育。招募了34例中重度呼吸功能障碍患者，28例患者（实验组19例，对照组15例）完成了研究。
仅在实验组中发现肺功能、运动耐量和健康相关生活质量有显著改善。
本研究为居家肺部康复计划对中重度慢性肺病患者的潜在有益效果提供了证据。该计划可充分用于改善慢性肺病患者的健康相关生活质量。
